Son T Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D6343 Issued in AZ

Practice address

1473 N Dysart Rd
Suite 105
Avondale, AZ 85323-1548

Phone

(623) 925-1331

NPI assigned

Mar 7, 2007

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Dental Professionals Az, PC

  dba Brightnow Christown Spectrum

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1376814012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1447380282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11029 W POINSETTIA DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923723",
            "telephone_number": "714-943-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 N DYSART RD",
            "address_2": "SUITE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231548",
            "telephone_number": "623-925-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan D Nguyen, NP-C
• Lam Thanh Nguyen
• Lily Nguyen, PHARMD
• Nam-Rene Nguyen, DDS
• Olivia Thuy Nguyen, PA-C
• Berinyuy Rita Ngwang
• Hannah Nichols
• Kathleen A Nichols, MD
• Mary Nichols, PT, DPT
• Connor Nickel, DPT

• Dentist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.